| NPI | 1770737561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUREA STARKS Administrator 910-583-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 00000000) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |