| NPI | 1043674203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA HERRING Outpatient Therapist 984-232-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 10300) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2017-02-25 |