| NPI | 1407406713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIUS SMITH President 919-345-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |