| NPI | 1326836198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA DAVIS Owner 252-915-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |