| 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 |