| NPI | 1982117669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LYNNE MILLER-URBAN Psychologist 910-538-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NC 1633640) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |