| NPI | 1780986802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONTARIO LAMONT CHAPPELL CEO 252-347-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 1229) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-23 |