| NPI | 1952599110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSLYNN YVETTE DICKEY Executive Director 336-420-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |