| NPI | 1508120825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN SCHELL Office Manager 910-433-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 29035) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2013-06-10 |