| NPI | 1013969237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL FREDERICK SMITH President 919-358-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 1726) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-07 |