| NPI | 1487913844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MCQUEEN Director 336-988-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 1253767) |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |