| NPI | 1417240854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTIE VANHOOK Executive Director 910-257-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |