| NPI | 1003225491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY INNISS CEO 910-897-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |