| NPI | 1720350630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL M. GOMEZ VP Of Finance And Business 336-724-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-05-31 |