| NPI | 1407481732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HALLIDAY Managing Member 919-471-5474 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |