| NPI | 1598034928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SHAW KAFES Owner/Manager 910-489-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2016-11-11 |