| NPI | 1417694183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KATHLEEN NOBLES MALSON Owner/Member 910-850-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2024-12-16 |