| NPI | 1023481249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL NOYES Cco 919-223-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 251S00000X |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-13 |