| NPI | 1407073588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TUCKER JOHNSON President 336-349-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL079081) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-05-24 |