| NPI | 1558606921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE YVONNE FAY Team Lead 336-856-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P005841) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |