| NPI | 1487094124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PHILLIPS Administrator 252-439-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1041c0700x) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |