| NPI | 1063696375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L FEATH Executive Director 910-254-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200001473568) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC C002813) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2020-09-10 |