| NPI | 1619115920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA L CARTER CEO 910-521-8903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |