| NPI | 1518109644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA TERESA WILLIAMS Director 252-758-2065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0801X (Licence: NC MHL074155) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |