NPI | 1902948227 |
---|---|
Entity Type | Organization |
Authorized Contact | LESA JACOBS Owner 910-734-4438 |
Organization Subpart ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
225100000X Physical Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225X00000X Occupational Therapist | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
251S00000X | |
253Z00000X In Home Supportive Care | |
3747P1801X Technician, Personal Care Attendant (Licence: NC HC1960) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2024-07-10 |