| NPI | 1093884819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD ANTHONY STRAG Owner 252-633-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 0769) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |