| NPI | 1447686647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY CARTER Iih Team Lead 336-285-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C008103) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |