| NPI | 1386078244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARDS RICHARD VP Service Line 919-865-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-12-20 |