| NPI | 1891922696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANN DECKER Owner 910-233-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3258) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |