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 |