| NPI | 1760636559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ENGELHARD Administrator 910-379-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 0000000) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |