| NPI | 1710347547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BROOKS-BLUE Owner/Clinical Director 910-257-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6791) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |