Organization
YOUTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BRANNON M.D. (MEMBER)
(919) 210-1874
Entity
Organization
Contact information
Practice address
543 KEISLER DR, SUITE 104, CARY, NC 27518-9321
(919) 977-3231
Mailing address
543 KEISLER DR, SUITE 104, CARY, NC 27518-9321
(919) 977-3231
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1513412
NC
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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