| NPI | 1184851438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA DENISE TORRENCE Executive Director 336-255-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2009-06-14 |