| NPI | 1821565821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENEKA JAVONA MCMILLAN President 910-261-2634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2018-10-28 |