| NPI | 1134450687 |
|---|---|
| Other Name | RANDOLPH PSYCHOSOCIAL REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | KENNETH A BURROW CEO 336-495-2700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |