NPI | 1194487868 |
---|---|
Doing Business As | CHARLESCIE L GRAHAM |
Entity Type | Organization |
Authorized Contact | CHARLESCIE LEE GRAHAM Clinician/Owner 919-679-2246 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-10-11 |
Last Update Date | 2023-12-28 |