| NPI | 1467699538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELISHA VICTORIA LINDSAY CEO 336-624-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-058-033) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |