| NPI | 1013231935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE R PAGE Administrator 252-379-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C005182) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2017-11-16 |