| NPI | 1669532552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF NATHANIEL COOKE President 252-321-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-10-19 |