| NPI | 1306274519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ANDREW TRAYLOR President 910-499-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A9883) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |