| NPI | 1962631622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOVON KENANE MARTIN CEO/Director 336-254-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC MHL-041-764) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |