| NPI | 1619568763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALMADGE LINDSAY JOINES Qi Training Director 910-399-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |