| NPI | 1801176250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JEROME MCDUFFIE CFO 336-349-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL079119) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2013-01-31 |