| NPI | 1235709692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIAN ANTIONETTE GIBSON-FORD Owner 919-867-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-10-30 |