NPI | 1528101656 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY LAMONT HOPKINS Qualified Professional, Owner 336-342-1136 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-09-04 |