| NPI | 1871922658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GAYLE RICKARD Licensed Psychological Associate 910-382-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 4389) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |