| NPI | 1639298714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN M DESUA Director Of Outpatient Psychiatry 919-416-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-02-19 |