| NPI | 1295068419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGA D POWELL Director 910-251-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |