| NPI | 1063784304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CHAMPION President 919-317-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: NC 19912) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2013-08-07 |