| NPI | 1073001749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONTARIO L CHAPPELL CEO 252-695-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1229) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |