| NPI | 1770393423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN MYLES CARRERA COO 910-691-8188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |