| NPI | 1023133709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE WOOD Program Director 336-837-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-034-047) |
| Additional Taxonomies | 251C00000X (Licence: NC MHL-034-047) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-06-05 |