| NPI | 1053791012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE STEINER Medical Director 336-884-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 171783) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |