| NPI | 1386951242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGO C CHUKWUMA Executive Director 336-884-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-041-960) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |