| NPI | 1740099498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY GILBERT Mental Health Nurse Practitioner 910-930-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-16 |