| NPI | 1841485547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA WOOLARD Owner/Director 252-946-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 007 051) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |