| NPI | 1639534704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MILLER Owner 910-471-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NC FCL-071-016) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |