| NPI | 1942424072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HESTER Clinical Director 252-439-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 074-162) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-01-06 |