NPI | 1215349576 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHELLE BROOKS-BLUE Owner/Clinical Director 910-257-4339 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6791) |
Enumeration Date | 2014-05-21 |
Last Update Date | 2014-05-21 |