| 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 |