| NPI | 1144305723 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ERIC LUTTMER Assistant Director 910-343-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 190232) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-07-21 |