NPI | 1720452212 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDRA EARWOOD Manager 910-690-4033 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 2013-0013) |
Enumeration Date | 2015-11-20 |
Last Update Date | 2015-11-20 |