| NPI | 1114255452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIQUE WASHINGTON SMALLS Chief Operations Officer 336-772-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |