| NPI | 1801606512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTINA HINTON Director 336-547-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |