| NPI | 1932854981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADE RENEE KEITH Lead Credentialing Specialist 919-366-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 101Y00000X Counselor |
| 207Q00000X Family Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2023-02-07 |