| NPI | 1780825711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT TODD TAYLOR CEO 252-916-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-008-043) |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2009-03-22 |