| NPI | 1144861337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CRUMPTON Chief Executive Officer 336-694-1181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2021-04-20 |