| NPI | 1760522528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE S. RODGERS Executive Director 252-792-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 8301150) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |