| NPI | 1922093947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRUS LOCKLEAR Agency Director 910-521-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC 2923) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2008-06-23 |