| NPI | 1134933799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SPARROW Member President 919-740-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-09-30 |