| NPI | 1801185350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAKEEM LEKAN MOHAMMED Chief Business Manager 336-602-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |