| NPI | 1710126396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN TERRELL MARSHALL Chief Executive Officer 336-512-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2011-01-07 |