| 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 Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician Personal Care Attendant (Licence: NC HC1960) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-07-10 |