| NPI | 1205237245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MINNETTE GIBBS CEO 919-572-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2022-12-08 |