| NPI | 1770985640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HAIRSTON Owner 919-636-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2007-01024) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |