| NPI | 1265151674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY JAMES NIVENS Pmhnp Bc 704-322-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-11-15 |