| NPI | 1639311525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARWIN EARL WOOLARD Owner 252-945-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL007037) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |