| NPI | 1891864492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BETH MCINTYRE President Clinical Director 252-353-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: NC MHL074217) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-07-19 |