| NPI | 1679960868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL WAITE CEO 252-335-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C003627) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |