| NPI | 1891672457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA M CHITALO Chief Executive Director 252-626-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |