| NPI | 1558545806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA WOLICKI-SHANNON Child/Adult Psychiatrist 252-523-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 200001033) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2007-12-21 |