| NPI | 1811132509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA DENISE MORRIS Program Director/Qmhp 910-474-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-078-215) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |