| NPI | 1932422987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHNSON Chief Executive Officer 336-772-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |