| NPI | 1063223535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA THOMAS Owner/ Operator 910-420-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-30 |