| NPI | 1730384470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONACA MAYE WILLIAMSON Executive Director 336-558-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2013-03-26 |