| NPI | 1710350343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA D KEMP-HENDRICKS Substance Abuse Counselor 910-321-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |