| NPI | 1821879057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMESZETTA THOMPSON HARDISON Owner/Operator 910-381-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |