| NPI | 1013102730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STOGNER Director 336-227-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 6558) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |