| NPI | 1669620282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY L HINES CEO/Clinical Director 252-814-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1468) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |