| NPI | 1821372210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAD DAVIS CEO 910-865-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2019-02-18 |