| NPI | 1679031033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER TIPPENS Clinical Counselor 910-773-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-12-11 |