| NPI | 1124266937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W RODNEY FOX Owner 336-963-0477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC mhl041889) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |