| NPI | 1225620503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MATLACK Administrative Director 910-323-1545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |