| NPI | 1932223617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER WENDELL FORD President 910-381-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-067-150) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-09-14 |