| NPI | 1538495536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BOLTON Executive Director 336-389-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC MHL041686) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |