| NPI | 1881724854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYSHA RONCELLE WYNN Executive Director 252-314-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-10-21 |