| NPI | 1114058104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A BARBOUR Director Of Operations 336-926-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-07-03 |