| NPI | 1467726448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA OLEHONNA LYNCH President, CEO 910-775-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5000705) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006439) |
| 106H00000X Marriage & Family Therapist (Licence: NC LMFT-1304) | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2013-01-18 |