| NPI | 1922804525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ANTIONETTE HARGROVE Owner/Operator 252-767-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-03-25 |