| NPI | 1356492359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY B EATON CEO, Owner 252-293-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C003025) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 32314) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-07-09 |