| NPI | 1487104097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUAWANA DENISE MARTIN Human Resources 336-896-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL034287) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |