NPI | 1801986658 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY EDWIN JACKSON Vice President Secretary Clinical D 910-362-9474 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2006-10-13 |
Last Update Date | 2015-08-25 |