| NPI | 1871647503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT BEAVERS Credentialing Manager 919-210-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2022-03-23 |