| NPI | 1730226721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDI BENNETT Finance Manager 252-537-6799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-04-12 |