| NPI | 1467532978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON OTOVO Executive Director/President 910-485-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC MHL026894) |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-10-02 |