| NPI | 1740480888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BROWN President 252-937-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 2007-01001) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2007-01001) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101239421) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 2007-01001) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101239421) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-04-10 |