| NPI | 1518165513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHRISTOPHER CREECH CEO 910-799-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 805) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |