| NPI | 1154791424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEWIS Interim CEO 336-355-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P009673) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |