| NPI | 1083278162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY GATHINGS CEO 336-965-4852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-06-11 |