| NPI | 1174753099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN L. COCHRAN Executive Director 336-883-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-041-012) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |