| NPI | 1730417726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY INNISS Executive Director 910-897-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2014-07-10 |