| NPI | 1487386777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SANDE Operations Manager 919-921-0907 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-29 |