| NPI | 1548694268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHANCELLOR WILLIAMS Counselor 336-554-1624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3400) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |