| NPI | 1538939574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAN LEEVAR ADAMS Director Of Operations 252-258-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |