| NPI | 1669836136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BROTHERTON Owner 336-283-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 10258) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2022-08-22 |