| NPI | 1124220215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY E MCARN Administrator 910-904-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-047-078) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |