| NPI | 1376824730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIA MCLEAN CEO 336-258-1532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-041-1041) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |