| NPI | 1174754675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLEWELLYN HICKS Director 919-694-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 8109498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 253Z00000X In Home Supportive Care (Licence: NC HC3862) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2024-02-02 |