| NPI | 1235318734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON ANDERSON Chief Executive Officer 252-538-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |