| NPI | 1447017975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIEE MICHELE MYATT Owner/Provider 252-696-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-11-13 |