| NPI | 1407571599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA HOLLAND FLYNN Owner 910-536-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2025-11-30 |