| NPI | 1679851158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW BRYANT Program Director 252-814-3202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 064-124) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |