| NPI | 1306669494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE L MILLER-URBAN Owner & Provider 910-538-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |