| NPI | 1205165495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE RENEE CASKEY Owner/Director 336-669-6283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 221265) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC 221265) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |