| NPI | 1376097162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA SMITH CEO 980-989-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C0099681) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2022-05-20 |