| NPI | 1538488192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEARL RAY POWELL Executive Director 252-902-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL033076) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2022-01-20 |