| NPI | 1447355888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS J NUTT Area Director 919-989-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-02-21 |