| NPI | 1972927929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANDA EYVETTE HOLMAN Co Owner 919-720-7593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1348761) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |