| NPI | 1184176042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTA HARRELL Owner 252-642-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NC FCI046025) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |