| NPI | 1053634824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY PRIDGEN CFO 919-734-8803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2023-09-29 |