| NPI | 1346606456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLISTINE SIMMONS CEO 252-287-8713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |