| NPI | 1730648288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY BADDOUR President 910-777-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2021-03-25 |