| NPI | 1467839696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMARETTE DENISE PITTS Director Of Operations 336-831-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |