NPI | 1568043537 |
---|---|
Entity Type | Organization |
Authorized Contact | MINA BOAZAK Founder And Medical Director 919-391-7202 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-04-20 |
Last Update Date | 2023-09-25 |