| NPI | 1356193890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETANYA LUCAS CEO 919-438-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-04-05 |