| NPI | 1518193572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY J. MCDUFFIE CEO 336-691-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 21449) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |