| NPI | 1104574946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI G WRIGHT Clinical Psychologist 910-274-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-11 |