| NPI | 1851609085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERA GILMORE President 910-484-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |