| NPI | 1629459508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIGNAL WHITE Director 336-417-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL001241) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-09-23 |