NPI | 1720420177 |
---|---|
Other Name | DEPARTURE DRIVE TOTAL LIFE CENTER |
Entity Type | Organization |
Authorized Contact | DAVID COTTENGIM President 919-713-1521 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2013-07-26 |
Last Update Date | 2013-07-26 |