NPI | 1962236562 |
---|---|
Entity Type | Organization |
Authorized Contact | KEMI ABDUL Provider 919-413-1335 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-27 |
Last Update Date | 2025-04-18 |