| NPI | 1982002580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE ANN WATSON Administrator/Registered Nurse 251-928-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: AL P0202) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |