| NPI | 1154867364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WALDEN ANZELONE Lifeset Specialist 252-320-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P010972) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |