| NPI | 1164792636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. KIMBERLY M. CUTHRELL Executive Director 336-617-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |