| NPI | 1083939300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEWIS Executive Director 336-274-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-041-940) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2019-03-11 |