| NPI | 1790098093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON D DAUGHTRY Chief Executive Officer 336-501-1607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |