| NPI | 1255010187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMISHA JOHNSON Owner 910-336-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |