| NPI | 1083225494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN KELLEHER President/CEO 910-546-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |