| NPI | 1295499051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALEY PIPPINS Owner 252-582-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-11-15 |