NPI | 1114791423 |
---|---|
Entity Type | Organization |
Authorized Contact | STEFANIE M. LAWSON Owner 336-916-1584 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-11-08 |
Last Update Date | 2023-11-08 |