| NPI | 1891813275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY RANALLI Director 910-798-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-065-153) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |