| NPI | 1619293586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SMITH Director 910-884-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NC 149819) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |