| NPI | 1952678658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA SPAULDING CFO 336-283-9441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 034290) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |