| NPI | 1366756637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LOUIS PRAYLOR CEO 336-471-8987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 041973) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2012-03-01 |