NPI | 1609241108 |
---|---|
Entity Type | Organization |
Authorized Contact | KYBRA SAUNDERS Owner 252-526-4410 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2015-12-09 |
Last Update Date | 2015-12-09 |