| NPI | 1770561193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA J EWING Chief Operating Officer 910-347-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-05-28 |