NPI | 1033710637 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA SCHAEFER Co Owner 919-367-6639 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2020-11-02 |
Last Update Date | 2022-09-20 |