| NPI | 1093973844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MCMILLIAN Owner Director 910-272-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-078-205) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |