| NPI | 1164730172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MARIE COOPER Secretary 910-829-9873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-026-907) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-10-19 |