| NPI | 1811133788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA KIMBROUGH Administrator 910-369-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2008-12-26 |