| NPI | 1093280620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BEASLEY Chief Operating Officer 910-791-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |