| NPI | 1790230076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHONSUS E NGWADOM Owner 919-247-2312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC PC10987) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC PC10987) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |