| NPI | 1265925697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN NICOLE FORBES Incorporetor 252-281-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246X00000X Spec/Tech, Cardiovascular |
| Additional Taxonomies | 174H00000X Health Educator |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |