| NPI | 1588857197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE NABRENA WILSON Executive Director 336-703-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |