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 |