| NPI | 1447532536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PISTONEM Medical Director 910-641-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC A8422) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |