| NPI | 1922145036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUCK HODIERNE Executive Director 336-274-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL 041-640) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |