| NPI | 1891073664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN EARL GERALD President 910-583-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1212061) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |