| NPI | 1588013635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETH RUIZ CEO/Owner 336-252-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC PC11066) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |