| NPI | 1477942472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHNIKA DAVIS Owner 910-876-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P009177) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |