| NPI | 1013183680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MOORE Clinical Director 910-735-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251E00000X Home Health | |
| 251S00000X | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |