| NPI | 1215022926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH DURANT CEO 919-907-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| 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) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NC 0689010) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 0689010) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-09-01 |