| NPI | 1255579579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI GREEN Billing 828-254-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL045072) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-03-24 |