| NPI | 1528208949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MACK Owner 910-258-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2018-06-21 |