| NPI | 1003050634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET WELLER STARGELL President & CEO 910-790-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NC MHL-065-011) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NC MHL-065-011) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2011-07-20 |