| NPI | 1619345766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA MICHELLE BETHEA Chief Executive Officer/Owner 910-229-4387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2016-03-22 |