| NPI | 1962535914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MAXINE COLEMAN Administrative Director 910-797-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |