| NPI | 1023420056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ROBERTS Director 252-508-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL058054) |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2014-05-26 |