| NPI | 1649847591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEACE IBEAWUCHI BANKS Pmhnp 336-991-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-10-17 |