| NPI | 1205158664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ROSE BEASLEY Medical Director 919-896-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 200500158) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |