| NPI | 1083924955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYSHA WYNN Executive Director 252-977-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |