| NPI | 1902128929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RICHBOURG Director 919-452-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2018-05-02 |