| NPI | 1396482550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DAIVD LEWIS Owner 919-886-9158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |