| NPI | 1689942658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY A MOORE CEO/President 252-537-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |