| NPI | 1811058803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THURMAN MORRISSETT Manager 336-683-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-076-030) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |