| NPI | 1447486592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANN JOHNSON CEO/Administrative Director 910-728-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4273) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |