| NPI | 1578316410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT TURNER BEAVERS Credentialing Managere 919-210-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-05-02 |