| NPI | 1033347596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA DAVIS MCNEILL Owner 910-608-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 078-226) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2012-05-29 |