| NPI | 1770613242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M JONES Area Director 910-219-8028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-016-003) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |