| NPI | 1841160587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MOORE BOOHAR Owner/Licensed Psychologist 910-661-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |