| NPI | 1639978182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE RIDLEY SIMMONS Pmhnp Bc 910-709-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-09-10 |