| NPI | 1821697293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIANA DIBERTO Billing Manager 919-656-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2022-02-17 |