| NPI | 1649479957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES STINSON Administrator 336-227-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC mhl001080) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |