| NPI | 1992255434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY J SMITH Owner 910-973-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006507) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2023-12-07 |