| NPI | 1487843124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM REAVES Clinical Director 336-886-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |