| NPI | 1134832959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE V WARD SMITH President 910-370-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 291U00000X Clinical Medical Laboratory | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2026-01-15 |