| NPI | 1346000320 |
|---|---|
| Former Legal Business Name | SELECT |
| Entity Type | Organization |
| Authorized Contact | VICKIE M PERSAUD Owner 252-642-5345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |