| NPI | 1396096566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON CLAIRE EDWARDS Co Owner 252-531-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1693) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |