| NPI | 1477826394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARRISSE TREMAINE SOMME COO 336-978-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 4464) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |