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 |