| NPI | 1396150611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAQUICIA CARR Team Lead 910-620-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P008674) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |