| NPI | 1922355197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE A GNEITING Owner 910-934-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 13 00017208) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |