| NPI | 1366729048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA REVIS PEGUES Director/Owner 252-363-4122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL-098-173) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |