| NPI | 1982801833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON T BARNETT Executive Director 252-714-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-074-136) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-09-10 |