| NPI | 1366573909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENSIE D LUCAS Assistant Area Director 910-323-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-026-243) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-01-16 |