| NPI | 1104337625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBETTE N SMITH Owner 910-489-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2026-02-13 |