| NPI | 1659450468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA LITTLE Nc State Qi & Training Director 704-344-0491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-02-09 |