| NPI | 1629364591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASHEBA KEY-ALLRED Credentialing Specialist 919-865-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-07-17 |