| NPI | 1013067420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SUMMERELL ATWELL President 251-343-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 1275) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |