| NPI | 1821397514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WATOANAR FLANAGAN President 252-747-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3410170) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |