| NPI | 1366737298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE RODGERS Executive Director 252-792-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-058-024) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |