| NPI | 1326518846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P JOHNSON CEO 336-978-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-29 |