| NPI | 1154645513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA PHILLIPIA HARVEY Owner 336-350-0775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL001189) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |