| NPI | 1558794719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LONGMIRE Therapist 910-728-3420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NC MHL-026-937) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |