| NPI | 1538304373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HARRUP President 252-945-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC MHL-007-070) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-05-06 |