| NPI | 1063564003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MCLEAN Director 910-864-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC3637) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2013-08-28 |