| NPI | 1609598044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE WHITAKER-BROWN CEO 704-351-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-10-07 |