| NPI | 1720429160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ADKINS Clinical Director 910-796-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P008292) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |