| NPI | 1609298785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON EDWARDS BERRYMAN Owner 980-307-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NC MHL-013-177) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |