| NPI | 1760842462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ELIZABETH FOX Psychiatric Nurse Practitioner 919-622-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 808937) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |