| NPI | 1093017931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY FAISON President 252-433-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 101Y00000X) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |