| NPI | 1912304387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WRIGHT Owner 336-809-8114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 191BHS) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |