NPI | 1508562703 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH RAYBURN Owner 251-644-7983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-31 |
Last Update Date | 2023-01-31 |