| NPI | 1073897419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LERIN BURNETTE CEO 252-762-9148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-096-242) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |