| NPI | 1053644807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MCMILLIAN President 910-736-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |