| NPI | 1669294260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY TANI WALKER Owner 910-262-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2024-11-03 |