| NPI | 1639368848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN SHANNON Chief Financial Officer 336-549-5947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |