NPI | 1104603455 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY CHISHOLM Owner / Manager 919-244-7638 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |