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