| NPI | 1942027628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADEJIA MUNGO Owner 704-526-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 310400000X Assisted Living Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |