| NPI | 1306985155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD TYRONE JENKINS Executive Director 252-862-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 13125) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-11-28 |