| NPI | 1982175469 |
|---|---|
| Former Legal Business Name | MAGNOLIA MENTAL HEALTH ASSOCIATES, PC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LITZINGER Medical Director 910-375-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2019-06-11 |