| NPI | 1083615777 |
|---|---|
| Doing Business As | SRRC PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH B FISER VP Managed Care And Revenue Cycle 910-615-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC H0213) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2023-12-19 |