| NPI | 1801079397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HAQQ Director 910-904-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-01-10 |