NPI | 1295095438 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT SEIGEL Owner 910-526-3288 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 207454) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2012-05-22 |