NPI | 1528838604 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAMEKA P COOPER Owner 252-301-8859 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-01-12 |