| NPI | 1649427436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN OATES BALLANTINE Sole Member/Organizer 919-593-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200201134) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |