| NPI | 1912299173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBALL JANE-MARIE SARGENT Owner/President 919-838-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NC 0261495-01) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NC 0261495-01) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NC 0261495-01) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2016-01-06 |