| NPI | 1992833503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LEE WILEY Owner 910-219-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-09-29 |