| NPI | 1073748992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLESHA ELLIOTT MCKOY Executive Director 919-665-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TC0700X Psychologist, Clinical | |
| 251S00000X | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2021-06-07 |