NPI | 1801222070 |
---|---|
Entity Type | Organization |
Authorized Contact | STACIE MICHELLE MEDLIN Owner/President 252-578-1986 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C008329) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2014-02-13 |