| NPI | 1689948143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN THOMPSON Program Development/Compliance Dir 336-372-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-09-17 |