| NPI | 1922786821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HILL Manager 919-917-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-10-08 |