| NPI | 1740990373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA WARDLOW BROWN CEO/Program Director 336-327-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-03-20 |