| NPI | 1093193310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIONNA TINNEY RAILEY Owner/Physician 919-342-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 2007-01400) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |