| NPI | 1801901129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA TERESA WILLIAMS Director 252-758-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-074-155) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC MHL-074-155) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-08-05 |