| 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 |