| NPI | 1366682593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRINA BELETHA MATHIS CEO/Program Director 910-616-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-009-030) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |