| NPI | 1134400757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J DOUGLAS Director 828-439-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-014-085) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2017-05-23 |