| NPI | 1699938993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA SIMPSON Ma Lpa 910-397-7685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |