| NPI | 1104696350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIA FAYE JONES Owner 910-358-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-09 |