| NPI | 1588947063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE AMAKA OKEKE Owner 336-508-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-041-937) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2015-10-27 |