| NPI | 1467657312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHELE WILKINS Administrator 336-389-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC HC2140) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |