| NPI | 1144360140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITA WILSON HARRIS Owner 336-634-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-09-11 |