| NPI | 1396365094 | 
|---|---|
| Doing Business As | BEYOND YOUR ORDINARY TREATMENT CENTER | 
| Entity Type | Organization | 
| Authorized Contact | MYA CULLINS CEO 336-268-6469  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2020-04-22 | 
| Last Update Date | 2020-08-12 |