| NPI | 1134409428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WEBSTER Owner 252-723-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC PC10303) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2011-08-18 |