| NPI | 1851524193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER BERNARD COLVIN Administrator 910-797-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-10 |