| NPI | 1316304355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENESHA J NIXON Owner/Director 252-375-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |