| NPI | 1104150945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELL RAHMAAN Administrator 910-864-2443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL026777) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |