NPI | 1689029605 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN E DURANT Executive Director 919-753-1080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
Enumeration Date | 2016-04-27 |
Last Update Date | 2025-03-10 |