| NPI | 1124223631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LAMONT SPELLER Program Director, P Lcas 252-347-3950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC4036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251S00000X | |
| 3747P1801X Technician, Personal Care Attendant (Licence: NC HC4036) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-09-27 |