NPI | 1114419124 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY BADDOUR President/Owner 910-777-9165 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2018-06-05 |
Last Update Date | 2021-03-25 |