| NPI | 1952629164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUITA C OBIE Executive Director 336-270-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-001-193) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |