| NPI | 1992865851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERA GILMORE Administrator 910-484-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC MHL-026-199) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC MHL-026-199) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-10-27 |