| NPI | 1639485667 |
|---|---|
| Doing Business As | NA |
| Entity Type | Organization |
| Authorized Contact | GEORGE BROWN Co Owner 252-907-4805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |