| NPI | 1184455412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M CARROLL CEO 910-425-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |