| NPI | 1568810596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY RAE FRINK Therapist 910-309-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |