| NPI | 1457588238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSHONDA MIDGETTE Owners 910-538-1096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7675194) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |