| NPI | 1336292556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BOLTON CEO 910-765-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC MHL041686) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-09-28 |