| NPI | 1982834073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREE L. SAMPSON Owner 910-827-1169 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-078-170) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |