| NPI | 1124151477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA BULLARD Director 910-735-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X Community/Behavioral Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 373H00000X Day Training/Habilitation Specialist | |
| 374700000X Technician | |
| 3747P1801X Technician Personal Care Attendant | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |