NPI | 1811195951 |
---|---|
Entity Type | Organization |
Authorized Contact | TONEY MCCRAY Administrator 910-484-8727 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: NC CERTIFICATE) |
Enumeration Date | 2007-07-10 |
Last Update Date | 2007-07-10 |