| NPI | 1396984480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK HODGE STEPHENS Co Owner 910-272-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 261QM0801X) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |