| NPI | 1083924096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY SCHMIDT Insurance And Billing 252-633-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-10-12 |
| Last Update Date | 2010-11-30 |