| NPI | 1982757787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WHITE Program Director 336-538-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC HC1745) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |