NPI | 1285878363 |
---|---|
Entity Type | Organization |
Authorized Contact | THAD DAVIS CEO 910-865-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent |
Enumeration Date | 2009-04-21 |
Last Update Date | 2009-04-21 |