| NPI | 1134712417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDARRIS ELLIOTT Owner And President 910-748-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 174200000X Meals |
| 251V00000X Voluntary or Charitable | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-22 |