NPI | 1093764128 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN BRENNAN HAINES President 919-285-4594 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 3509) |
Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MA 8472) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2008-04-15 |