| NPI | 1588091532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELL DAVIS Sole Organizer 919-800-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 134272) |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2016-11-30 |