NPI | 1295874196 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH FISER Executive Director 910-615-5572 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2014-08-11 |