| NPI | 1568977254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ALBERT President 336-202-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC C005664) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2026-02-24 |