NPI | 1811042401 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANDRA CROMARTIE Director Of Operations 336-760-1184 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-029-095) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NC MHL-034-172) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2007-10-09 |