| NPI | 1265724744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR DENISE BRANCH Managing Owner 336-549-3103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 245260) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |