| NPI | 1962643270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C WARD Executive Director 919-848-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5567) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2024-04-10 |