| NPI | 1417286295 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | DANIEL WRIGHT President 336-542-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2012-09-07 |