| NPI | 1003549759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE SMITH CEO 910-385-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2024-07-22 |