| NPI | 1215452032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE SIMPSON Partner 910-899-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |