| NPI | 1184748238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN WILSON Administrator 252-985-2735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC mhl064060) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-07-31 |