| NPI | 1114005261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERA W GILMORE Administrator 910-484-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-026-199) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-08-14 |