| NPI | 1972052728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARESIA BARNETT President/Owner 980-888-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 10546) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |