| NPI | 1396069472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMESHA KELLY SPINKS President 336-824-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 076-069) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |