| NPI | 1609288034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ALLAN SCHOFIELD Owner 919-308-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2019-07-17 |