NPI | 1992152847 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN BERNARD QUICK Owner 336-509-3475 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 7277101979) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2016-05-20 |