| NPI | 1255730677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA C RAYNOR Owner, Dba 910-527-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C008545) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2015-05-26 |