| NPI | 1508345760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE M CARROLL Billing Manager 919-901-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |