| NPI | 1891992673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKO MICHELLE MOORE President 336-887-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-04-29 |