NPI | 1215022926 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN ELIZABETH DURANT CEO 919-907-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 0689010) |
103T00000X Psychologist (Licence: NC 0689010) | |
103TC0700X Psychologist, Clinical (Licence: NC 0689010) | |
103TF0000X Psychologist, Family (Licence: NC 0689010) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: NC 0689010) | |
207Q00000X Family Medicine | |
208000000X Pediatrics | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 0689010) | |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0689010) | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2025-03-12 |