| NPI | 1689109654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFIYYAH N FEASTER CEO/Owner 336-739-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC C008603) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-27 |