| NPI | 1437598844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE OSBORNE Executive Director 336-227-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-001-016) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-06-01 |