| NPI | 1922298942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BENSON Revenue Cycle Director 336-553-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2024-04-25 |