| 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 |