| NPI | 1679880520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARLOWE WILKINS Sole Member 910-642-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC PC10348) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |