| NPI | 1629831060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JONES THOMPSON Owner 919-418-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-07-30 |