| NPI | 1114394376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRANDA L DESHIELDS Director 910-263-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |