| NPI | 1992085963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRICE YVONNE WILSON Qm/Training Director 252-792-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |