| NPI | 1801977780 |
|---|---|
| Doing Business As | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | DEBORAH ARLENE GORHAM Qa/CEO 252-814-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NC 171M00000X) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2017-04-06 |