| NPI | 1730777483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA WEINTRAUB-FARR Owner 910-233-7421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |