NPI | 1932371655 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA DYAN STACEY CEO 919-834-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
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 |