| NPI | 1467933267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN WALSER Director Of Therapy And Programming 252-287-9198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TN I000000022237) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |