| NPI | 1891566485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CORINNA MURPHY Administrative Official 252-885-3609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |