| NPI | 1629499819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BROOKS Administrative Director 910-581-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-12-14 |
| Last Update Date | 2023-06-16 |