| NPI | 1588718993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHE TAULA Owner 910-934-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-07-08 |