| NPI | 1508332370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MADISON LOWE Chief Executive Office/ Owner 336-772-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |