| NPI | 1497045124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MARIE COOPER Executive Director 910-829-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |