| NPI | 1235127572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BUNCH WALTON Owner/Provider 252-758-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |