| NPI | 1710142757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SMITH F Billing 910-608-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-078-162) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |