| NPI | 1548600174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACCHEAUS ELEY Owner 910-237-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |