NPI | 1114229275 |
---|---|
Entity Type | Organization |
Authorized Contact | INGRID MARY DIEDEREN President 828-253-1445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 1376) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2010-11-23 |