| NPI | 1679877534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAMU SALISU Medical Director 336-577-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 2005-01681) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |