| NPI | 1174076780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARROD GRAY President 910-742-1791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4576) |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2016-07-31 |