| NPI | 1770777096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GRAY TANNER Director 252-533-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-042-042) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |