| NPI | 1316177173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA E. LEONARD Administrative Assistant 910-452-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-10-29 |