| NPI | 1578333191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROKIMA MICHELLE KNOX Owner 910-352-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |