| NPI | 1366577892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONTESSA STRADER Owner 336-254-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-09-11 |