NPI | 1659783058 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLY KEITH IDELL President/Owner 828-200-3739 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C201412200314) |
Enumeration Date | 2014-05-20 |
Last Update Date | 2014-05-20 |