| 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 |