| NPI | 1407184880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PHIFER Owner 336-788-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |