| NPI | 1417125121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MATKINS Chief Operating Officer 336-714-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |