NPI | 1124367347 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN JOSEPH MASTRIDGE President 919-529-2474 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2013-02-07 |
Last Update Date | 2022-02-23 |