| NPI | 1730374588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL D OUTLAW Vice President/ 252-482-8101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8301858B) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |