| NPI | 1518421643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLEME OJINGA HARRISON CEO 919-848-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-07-08 |