| NPI | 1346812369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DANYALL LAWSON CEO 252-327-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 251B00000X Case Management | |
| 261QP2300X Clinic/Center, Primary Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-10-06 |