| NPI | 1922251370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAINT PAUL EDWARDS Co Owner 252-360-1807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC n/a) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2011-09-07 |