| NPI | 1548468762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER G GORE CEO 910-641-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2008-07-22 |