NPI | 1700661931 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY EDMISTER Owner 910-830-3064 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-08-28 |
Last Update Date | 2023-08-28 |