| NPI | 1447753777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A VAN HORN Medical Director 919-239-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2014-00886) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 2014-00886) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |