| NPI | 1023597176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRITZ VANEUS COO 336-279-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| 291U00000X Clinical Medical Laboratory | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |