NPI | 1609482439 |
---|---|
Other Name | CENTERSTONE FAYETTVILLE NC CLINIC |
Entity Type | Organization |
Authorized Contact | KAREN LYNETTE KEENE Security Officer, It Technology Sup 615-463-6523 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |