| NPI | 1407482532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE JOHNSTON Operations Manager 919-280-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |