| NPI | 1659435774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERN OXENDINE Director 910-739-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2011-01-31 |