| NPI | 1992071674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LIVINGSTON-GREEN Managing Member 252-637-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 91472) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004180) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 83830) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2013-02-14 |