| NPI | 1083283808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA PETRINI GRAZIANO Member/Woner 336-420-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |