| NPI | 1710384565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENI VILCA-PAUL CEO 252-412-4829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1566) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |