| NPI | 1689058646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REKETTA WRIGHT Director 336-816-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7646) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |