| NPI | 1659125011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHURONDIA C WILLIAMS CEO 252-915-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-06-19 |