| NPI | 1912155474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NELSON GARROT Manager 336-625-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2010-03-05 |