| NPI | 1063740389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHATISHA R. STURGIS Administrative Director 252-746-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |