| NPI | 1902081748 |
|---|---|
| Former Legal Business Name | PSYCARE OF THE TRIAD |
| Entity Type | Organization |
| Authorized Contact | DEBOREA WINFREY Interim Executive Director 336-774-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2022-07-21 |