NPI | 1275328700 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA DENISE ROBINSON Owner 252-503-9256 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-04-14 |
Last Update Date | 2025-04-14 |