| NPI | 1346555349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUETTA HARRISON BULLOCK Executive Director 252-430-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |