| NPI | 1902585714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER L BRANT COO 336-577-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |