| NPI | 1598958563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL HALL CEO 336-694-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2008-10-10 |