| NPI | 1760620520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR RANDOLPH MOORE Executive Director 252-452-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2009-01-31 |
| Last Update Date | 2009-01-31 |