| NPI | 1942724299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKEYITA MURDOCK Co Owner 336-287-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: VA 2451) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |