| NPI | 1972365211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIYA WILLIAMS Officer 910-262-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 347C00000X Private Vehicle | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |