| NPI | 1891997334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUTHIAH K. SABANAYAGAM Owner 919-735-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 31639) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NC 31639) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NC 31639) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 31639) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-07-02 |