| NPI | 1326340464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL GLENN Co Owner 919-431-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |