| NPI | 1386498111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN STINNETT Owner 910-812-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-06-15 |