| NPI | 1700109014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY T KASHGARIAN Owner 910-509-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 2550) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |