| NPI | 1932371655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DYAN STACEY CEO 919-834-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 101YP2500X Counselor Professional (Licence: NC 6102775) | |
| 103TC0700X Psychologist Clinical (Licence: NC 6107485) | |
| 103TC1900X Psychologist Counseling (Licence: NC 6001168) | |
| 106H00000X Marriage & Family Therapist (Licence: NC 6105171) | |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: NC 9300596) | |
| 251B00000X Case Management | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2014-06-18 |