| NPI | 1629588496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA CABBAGESTALK President 910-207-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2021-04-20 |