| NPI | 1497524045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEWUNA DALE PATTERSON Executive Director 336-987-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |