| NPI | 1710241534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA KAY SMITH Information Processing Technician 919-989-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-10-10 |