| NPI | 1770895229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBINNA O IKWECHEGH Owner 336-602-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |