| NPI | 1659508620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEE SURRATT Owner/ Executive Director 336-830-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2010-02-04 |