| NPI | 1811128507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MONIQUE BOATMAN-HALL CEO 910-484-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-026-875) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |