| NPI | 1649406216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL WILSON Chief Executive Officer 336-403-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2022-07-21 |