| NPI | 1487035192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMDIYA MOORE Partner 919-793-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63272) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q3834) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2022-08-02 |