| NPI | 1124191259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON TEAGUE Director 910-739-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-09-11 |