| NPI | 1194424754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA HARLEY Psychiatric Nurse Practitioner 919-446-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2024-11-22 |