| NPI | 1831052737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTON MONTREAL ROGERS Executive Director 252-470-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-12-08 |
| Last Update Date | 2025-12-30 |