| NPI | 1396971685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE DEVETTE LITTLE Administrator/Owner 919-455-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Additional Taxonomies | 251S00000X |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2011-08-18 |