| NPI | 1902334279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WHITE Executive Director 919-539-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 164W00000X Licensed Practical Nurse | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2021-04-16 |