| NPI | 1528315603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH AMOS CORBETT Owner 919-755-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005032) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |