| NPI | 1699093849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERVA AUGUSTIN Psychiatrist/President 910-223-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 200601774) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-08-23 |