| NPI | 1891290466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA G PORTER Mental Health Therapist 252-220-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NC C008788) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |