Unknown Organization
NPI #1487402699 in Fayetteville, North Carolina
Provider Information
- NPI Number
- 1487402699
- Entity Type
- Organization
- Organization Name
- Unknown Organization
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 11, 2024
- Last Updated
- May 11, 2024
Practice Location
- Address
- 4140 FERNCREEK DR STE 702
- City
- Fayetteville
- State
- North Carolina
- ZIP Code
- 28314-2569
- Phone
- (910) 514-6251
Authorized Official
- Name
- BRITTANY FOTI, LMBT, MMP
- Title
- CEO AND FOUNDER
- Phone
- (828) 269-6235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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