| NPI | 1861762007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BURNEY Executive Director 919-639-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-06-28 |