| NPI | 1356671077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM NICHOLAS HALL Owner/Member 336-254-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: N/A) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |