| NPI | 1477010361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEROD MCCORMICK Owner 336-686-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-04-15 |