NPI | 1154516367 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL BURRELL WITHERSPOON Owner,Director 336-785-0861 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-09-11 |
Last Update Date | 2007-09-11 |