| NPI | 1396878914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY LOCKLEAR Owner 910-690-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 103T00000X Psychologist | |
| 251B00000X Case Management | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-07-21 |