| NPI | 1013214501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN RIGGINS Director 251-928-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AL 1862G) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |