NPI | 1487909636 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT LEE MOZELL Exec./Qm Director 336-549-1796 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-041-1048) |
Enumeration Date | 2012-07-13 |
Last Update Date | 2012-07-13 |