| NPI | 1356778906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MUHAMMAD Cst Team Lead/Saiop/Therapist 336-285-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 2821-A) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |