| NPI | 1225508153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GEARTZ Billing Manager / Human Resources 336-438-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |