| NPI | 1689793010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEE M BAILEY Owner 252-946-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC 8301273) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC 8301273) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-05-11 |