| NPI | 1366679268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LORENZO-SCHIBLEY Executive Director 336-275-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |