| NPI | 1609212034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOHMINA KALEI KASEY Owner 336-254-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C006377) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-10-13 |