| NPI | 1992179782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BLANKENSHIP Facility Director 910-577-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NC P009713) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |