| NPI | 1104007723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS EARL WILLIAMS Administrator 252-442-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: NC mhl033-050) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC mhl033-050) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |