| NPI | 1679009237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA PHILLIPS Assistant Administrative Director 252-439-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |