| NPI | 1164787248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESHIA LASHA FULTON Owner 919-633-5157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |