| NPI | 1265772321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HAMILTON JOHNSON Director 336-617-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 732590) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |