| NPI | 1063960904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WILKINS Agency Manager 910-475-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 22177049) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-03-31 |