| NPI | 1487934006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA WATSON Director 910-428-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NC 5005256) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |