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 |