| NPI | 1154864585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ROSE DIXON Chief Executive Officer 910-990-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2016-12-03 |