| NPI | 1649809666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSY TIMAS Founder/CEO 910-864-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QS1000X Clinic/Center, Student Health | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |