| NPI | 1720099385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBOREA WINFREY Clinical Director 336-682-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-05-20 |