| NPI | 1780091074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRADY LAWSON Behavioral Specialist 910-567-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC P008888) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2018-02-01 |