| NPI | 1033538285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELWYN GEORGE DANIEL Owner 252-907-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 103165) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |