| NPI | 1407087646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY MACHELLE WIGGINS CEO 336-669-6283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 219293) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-02-09 |