| NPI | 1326228099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MCCOMBS NOBLE Director 252-756-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 2414) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |