| NPI | 1285397299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NICHOLE BEATTY Executive Director 336-210-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2021-10-17 |