| NPI | 1528243219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A. ALLRED Director 336-674-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NC MHL-041-845) |
| Enumeration Date | 2008-01-01 |
| Last Update Date | 2008-01-02 |