| NPI | 1619254505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF TEDDY FLOWERS CEO 910-265-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6904) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |