| NPI | 1376307892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEWIS CEO 919-609-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |