NPI | 1699983312 |
---|---|
Entity Type | Organization |
Authorized Contact | RUTH FINCH Executive Director 910-343-8209 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-08-24 |