| NPI | 1306036504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MOORE CEO 910-735-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6005028) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |