| NPI | 1295577781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MICHAEL HARRIS Administrator/Director 910-224-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SH0200X Clinical Nurse Specialist Home Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |