NPI | 1366777286 |
---|---|
Entity Type | Organization |
Authorized Contact | ANISSA YVETTE JOHNSON Billing Clerk 910-671-4067 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-078-179) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2009-10-09 |