| NPI | 1811163504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LUVENIA THOMAS Family Nurse Practitioner 252-794-2535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |