| NPI | 1669564340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ALLEY Executive Director 336-761-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-11-14 |