| NPI | 1598901159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE REEVES WALYKO Licensed Psychological Associate 252-937-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 1699) |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |