| NPI | 1861763534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA REGENIA ROGERS Np/CEO 704-966-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5003950) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003950) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-03-17 |