| NPI | 1740476134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JOAN HANSON Licensed Psychologist/Owner 910-792-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC 2572) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 2572) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 2572) | |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2018-06-01 |