| NPI | 1790197564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN A HANDON Branch Manager 910-321-1637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC p008677) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |