| NPI | 1720335326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A HANLEY President 910-255-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201498) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201498) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-10-19 |