| NPI | 1174168496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY BADDOUR President 910-338-2882 |
| 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 | 2019-11-11 |
| Last Update Date | 2021-03-25 |