| NPI | 1154112274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MACK CEO 910-224-5636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-05-16 |