| NPI | 1881036796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BROOKS - BLUE Owner/Clinical Director 910-483-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |