| NPI | 1265526016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA HOLT Owner 252-537-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NC HC2914) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 291U00000X Clinical Medical Laboratory (Licence: NC LH00422) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-04-06 |