| NPI | 1679041552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA TORRENCE CEO 336-617-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |