| NPI | 1790918068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF LOVICK Executive Director 336-275-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NC MHL078232) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-08 |