| NPI | 1518227370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHONDA PATRICK President 336-558-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |