| NPI | 1477845873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY ANDERSON President 910-739-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL078270) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |