| NPI | 1073530853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY E SCOTT CFO 910-673-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2008-03-04 |