| NPI | 1235519570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONDREA DEVORE NIXON Director/CEO 336-575-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 2133-03-001) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |