NPI | 1740977016 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES SMITH Owner 910-474-3192 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-18 |