| NPI | 1710247077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY MOORE Psychiatrist, CEO 252-520-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC A7666) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |