| NPI | 1245567205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMETKA PITTMAN Partner 919-697-1156 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC MHL 0-32-509) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |