NPI | 1346017118 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL BRANSCOMB Organizer 336-413-6717 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-12-11 |
Last Update Date | 2023-12-11 |