| NPI | 1285862292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT LYSNE Director 910-465-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: NC 200301378) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2014-01-02 |