| NPI | 1619988565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE DELLA KENION Nurse Case Manager/ Qp 910-763-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-05-18 |