| NPI | 1255737664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA RENEE PRITCHETT Administrator 336-763-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |