| NPI | 1740457019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY FARRON HERNDON Owner 910-461-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |