| NPI | 1386388148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN TORRENCE CEO 336-471-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |