| NPI | 1457872806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CONNER Owner 919-797-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2011-00120) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-07-21 |