NPI | 1144983438 |
---|---|
Entity Type | Organization |
Authorized Contact | CARISSA MARSH Owner/Psychologist 910-378-2678 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-10-14 |
Last Update Date | 2022-03-21 |