| NPI | 1114248184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JEROME MANLEY-ROOK Administrative Director 252-862-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |