| NPI | 1710332192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA HUCK Insurance & Billing Manager 919-798-5727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-09-01 |