| NPI | 1902056039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MCCLELLAND Assistant Program Director 252-353-2555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-074-167) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |