| NPI | 1275827966 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JUANITA PERKINS Director 919-943-9515  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5001612)  | 
| Enumeration Date | 2011-05-31 | 
| Last Update Date | 2011-05-31 |