| NPI | 1871356691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILANA SHEPPARD Executive Director 910-518-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |