| NPI | 1689828394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIRGER STEVEN BENTSEN President 910-815-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NC 0296048) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2009-10-08 |