NPI | 1619605953 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY BARRETT SMITH Employee 251-554-2075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-08-14 |
Last Update Date | 2022-08-14 |