| NPI | 1326197096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTIONETTE B JENNINGS Executive Director 910-275-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 38720) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-05-27 |