| NPI | 1346816667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSHUA JOHNSON CEO & Provider 910-778-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2022-07-25 |