| NPI | 1912158643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY E. SCOTT CFO 910-673-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |