| NPI | 1356628994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIVIA HARPER Lcsw 252-347-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P005969) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |