| NPI | 1215188438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LOWRY Agency Director 910-521-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC HC2919) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |