| NPI | 1417097627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEESHA TOLONA ATKINSON Owner & Agency Controls Director 910-964-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-13 |