| NPI | 1801121181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA R PEGUES Owner/Director 252-363-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC MHL098173) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL--098-136) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2011-11-16 |