| NPI | 1952441222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRESTON RAY EALY Administrative Director 910-717-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 026-796) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |