| NPI | 1205011657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER LEE YOUNG CEO 252-442-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL026742) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |