| NPI | 1013362268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE JOSEPH CEO 910-491-7186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-07-25 |