NPI | 1013335348 |
---|---|
Entity Type | Organization |
Authorized Contact | MILICIA TEDDER Licensed Psychological Associate 919-697-1674 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC 3735) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2014-04-03 |