| NPI | 1912338328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SAMPSON Managing Partner 919-630-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 2011-00546) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2960) |
| 208D00000X General Practice (Licence: NC 9701437) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2018-03-14 |