NPI | 1114161247 |
---|---|
Entity Type | Organization |
Authorized Contact | LORA LEE CLARK Manager 910-217-2941 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 5204232) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2009-04-20 |