| NPI | 1619143211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLEMONS Owner 828-400-5488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C005286) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |