| NPI | 1366608069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SMITH WASHINGTON Executive Director 336-382-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |