| NPI | 1760933360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MULLINS Owner 336-638-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 9952) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 9952) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |