| NPI | 1720221559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JEROME MANLEY-ROOK Administrative Director 252-862-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C003507) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |