| NPI | 1689029605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN E DURANT Executive Director 919-753-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-05-27 |