NPI | 1003955345 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY A AVANT Administrative Officer 910-997-8475 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 104100000X) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-08-22 |