| NPI | 1306362017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN BELTON Founder/Executive Director 336-575-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |