| NPI | 1063742781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETTE LEVON WITHERSPOON Cheif Exective Officer 336-306-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2015-06-03 |