| NPI | 1699008144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA LYNCH Owner 910-740-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2011-11-28 |