| NPI | 1306039904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSSEF LATEEF GILKEY Executive Director 336-896-2550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-07-08 |