| NPI | 1942097910 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | MARSHA PAULETTE HILL Organizer 910-689-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |