| NPI | 1104215870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY RENEE BROWN Therapist 910-689-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC P008484) |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-01-17 |