| NPI | 1831425099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN D FEARRINGTON Owner 336-350-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7063) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |