| NPI | 1235427279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE LOCKLEAR CFO 910-865-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-04-09 |