| NPI | 1588706055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE POLETTI LACARTER Owner 252-293-0739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 5361) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-07-12 |