| NPI | 1255601084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIKA LASHERIA MCGEACHY CEO 910-527-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |