| NPI | 1972276988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ARMSTRONG-DESSASAU Executive Producer 336-588-5943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |