| NPI | 1831284124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA L. HUESTON Clinical Counselor 252-441-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NC 2176) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-06-12 |