| NPI | 1437912896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN A LYALL Executive Director/CEO 336-818-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |