| NPI | 1386973444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L LORICK Owner/Director 336-587-6896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |