| NPI | 1639883408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SWARTZ Owner 910-796-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 261QR1100X Clinic/Center Research | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |