NPI | 1407103617 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARRISSE TREMAINE SOMME President 336-978-5783 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4464) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2012-08-07 |