NPI | 1548420664 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY ALPHONZIA SIMPSON Owner 919-806-2021 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201509) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2008-06-12 |
Last Update Date | 2009-11-19 |