| NPI | 1417197104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION FRAZIER Qualified Mental Health/Subtance Ab 252-885-4548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |