| NPI | 1073255055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER INEZ MCLEAN-RUSS Pmh Np 919-638-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2024-04-24 |