# GRAY MATTERS PEDIATRIC BEHAVIORAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144064221
- **Authorized official:** JENNIFER BALL (CEO/OWNER)
- **Authorized official phone:** (919) 435-4784

## Contact information

- **Practice address:** 300 SOUTHTOWN CIR, ROLESVILLE, NC 27571-9573
- **Practice address phone:** (919) 435-4784
- **Mailing address:** 300 SOUTHTOWN CIR, ROLESVILLE, NC 27571-9573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 07/23/2024