| NPI | 1689188997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL MORGAN President 336-402-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 041842) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |