| NPI | 1750433728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K. SKALKO Director 252-328-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL074127) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |