| 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 |