| NPI | 1023206711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL KENDELL BROWN Owner/ Facility Director 336-734-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2009-05-27 |