| NPI | 1528878014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALMADGE LINDSAY JOINES Qi Training Dir./Otp Sponsor 910-685-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |