| NPI | 1659692481 |
|---|---|
| Other Name | CSP CABHA PROVIDER |
| Entity Type | Organization |
| Authorized Contact | CHARLES CREECH C.E.O 910-799-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8300728) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC 8300728) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |