| NPI | 1750765624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA JONES CEO 336-767-4514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL034-299) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |