| NPI | 1114116944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABBIR AHMED CHOWDHURY Owner 910-484-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 200401185) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2020-07-30 |