| NPI | 1588017800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRICE WILSON CEO 252-814-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1093855439) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |