| NPI | 1639472533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MAY MCPHAUL President 910-878-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 0000007846) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-28 |