| NPI | 1952590713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENITA ROGERS CEO 252-215-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |