| NPI | 1962784397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MELISSA DOUGLAS CEO 910-521-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC COO6439) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |