| NPI | 1477919173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE E DAVIS Owner 336-778-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 27584) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |