| NPI | 1548426646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA FELICA CORBETT Manager/ Director 910-641-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-10-30 |