| NPI | 1841757119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN LEICHTLE HART Owner 919-274-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |