NPI | 1295954899 |
---|---|
Other Name | GRIFFITH MIDDLE DAY TX |
Entity Type | Organization |
Authorized Contact | ASHLEY CONRAD President & CEO 336-724-1412 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: NC MHL-034-214) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC MHL-034-214) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2015-12-17 |