| NPI | 1114679362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STINE DORN Psychiatrist/Manager 919-928-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |