| NPI | 1396016291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J LACAVERA Partner 252-327-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC LPC5318S) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |