| NPI | 1316006075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNA HARFORD CFO 910-550-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL 065-007) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC MHL065007) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-08-21 |