| NPI | 1972739126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON OSBORNE Executive Director 336-227-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC mhl001070) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2016-06-01 |