| NPI | 1710181920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE L RHODES Director 336-227-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-06-21 |