| NPI | 1295216562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILEY EDGAR HUGHES Pastoral Psychotherapist 910-835-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-04-24 |