| NPI | 1033400478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMAZ JOHNSON Owner 704-641-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5004249) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-10-27 |