| NPI | 1255752317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZY SILVIA Owner 910-599-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C008345) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2014-01-29 |