NPI | 1679217061 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA J GOOD CEO 919-263-0827 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2022-04-22 |
Last Update Date | 2022-04-22 |